Randall W. Nichols M D , Pc

NPI 1164665188 - Surgery - 208600000X

NPI Details
NPI 1164665188
Enumeration Date 04/07/2009
Last Updated 04/07/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GERALDINE GERALDINE
Position OFFICE MANAGER
Phone (334) 677-6220
Fax
Practice Location
112 HAVEN DR
SUITE 2
DOTHAN AL, 36301-2957, US
Phone (334) 677-6220
Fax
Business Location
112 HAVEN DR
SUITE 2
DOTHAN AL, 36301-2957, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Alabama
License Number 9258
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According to our database, Randall W. Nichols M D , Pc NPI is 1164665188, taxonomy code is 208600000X and license number is 9258, license state is located at Alabama. Randall W. Nichols M D , Pc physically located at 112 Haven Dr, Dothan AL, 36301-2957. NPI Number 1033115704 has the healthcare provider type.

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1164665188 NPI number is provided on an as is basis without warranty of any kind. 1164665188 is maintained by the National Plan & Provider Enumeration System. The contents of Randall W. Nichols M D , Pc are for informational purposes only.